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Spasm of pelvic floor muscles as a cause of its dysfunction
Hurt, Karel ; Zahálka, František (advisor) ; Martan, Alois (referee) ; Otčenášek, Michal (referee)
Background: Currently, there are no effective therapy strategies for idiopathic, non-organic vulvodynia and dyspareunia in women. ESWT (extracorporeal shock wave therapy) is a nonsurgical/noninvasive technique widely used to treat musculoskeletal diseases, muscle spasticity, hypertonia, renal, biliary calculi and urological disorders. Aim: The goal of our work is to investigate the possibility to eliminate chronic and acute forms of pelvic pain by a non-invasive physical method. We wanted to know if the extracorporeal shock wave technique could fulfill these requirements. Study design: The prospective, randomized, double-blind, placebo-controlled studies were conducted following feasibility studies. Methods: The study 1. included 62 women with vulvodynia for at least 3 months. The women were randomly assigned to either a treatment group (n=31) or a placebo group (n=31). The patients in the treatment group received perineally applied ESWT weekly (3000 pulses each for four consecutive weeks). The position of the shock wave transducer was changed six times after every 500 pulses. Patients in the placebo group underwent the same treatment procedure, but the handpiece was provided with a placebo stand-off that disabled energy transmission. Subjective pain was evaluated by a visual analogue scale (VAS,...
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